University of Southern Mississippi, USA.
Autism. 2020 Feb;24(2):387-399. doi: 10.1177/1362361319861579. Epub 2019 Jul 31.
Decreased engagement in beneficial physical activity and increased levels of sedentary behavior and unhealthy weight are a continued public health concern in adolescents. Adolescents with autism spectrum disorder may be at an increased risk compared with their typically developing peers. Weekly physical activity, sedentary behavior, and body mass index classification were compared among adolescents with and without autism spectrum disorder. Analyses included 33,865 adolescents (autism spectrum disorder, = 1036) from the 2016-2017 National Survey of Children's Health (United States). After adjustment for covariates, adolescents with autism spectrum disorder were found to engage in less physical activity and were more likely to be overweight and obese compared with their typically developing peers ('s < 0.05). As parent-reported autism spectrum disorder severity increased, the adjusted odds of being overweight and obese significantly increased and physical activity participation decreased (for-trends < 0.001). The findings suggest there is a need for targeted programs to decrease unhealthy weight status and support physical activity opportunities for adolescents with autism spectrum disorder across the severity spectrum.
体力活动参与度降低、久坐行为和不健康体重增加仍然是青少年面临的一个公共卫生问题。与普通发育同龄人相比，自闭症谱系障碍青少年的风险可能更高。本研究比较了自闭症谱系障碍青少年和非自闭症谱系障碍青少年的每周体力活动、久坐行为和身体质量指数分类。分析纳入了来自 2016-2017 年美国全国儿童健康调查的 33865 名青少年（自闭症谱系障碍，n=1036）。调整协变量后，与普通发育同龄人相比，自闭症谱系障碍青少年的体力活动参与度较低，超重和肥胖的可能性更高（P＜0.05）。随着父母报告的自闭症谱系障碍严重程度增加，超重和肥胖的调整后比值显著增加，体力活动参与度降低（趋势 P＜0.001）。研究结果表明，需要针对自闭症谱系障碍青少年制定有针对性的方案，以降低不健康体重状况，并在整个严重程度范围内支持他们进行体力活动。
